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1.
J Ethn Subst Abuse ; : 1-24, 2024 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-38613768

RESUMO

BACKGROUND: Alcohol consumption among tribal male adolescents in India is a significant social concern. Tribal adolescents are particularly vulnerable and tend to lean toward alcohol addiction. Therefore, it is crucial to introduce some necessary footsteps to reduce alcohol consumption. The primary objective of this study is to investigate the association of various latent factors with the alcohol-drinking behavior of tribal adolescents. METHODS: The study collected data from 600 tribal adolescents from the Dooars region, with 241 of them reported consuming alcohol. The study aimed to confirm the theoretical development of hypotheses regarding peer pressure, parental discord, stress, attitude toward alcohol, and food insecurity as exogenous latent factors influencing the alcohol-drinking behavior of tribal adolescents. In this context, the study adopted both measurement and structural models using Partial Least Squares-Structural Equation Modeling (PLS-SEM). RESULTS: The findings revealed a significant path relationship between alcohol drinking behavior and various exogenous factors like peer pressure (ß = 0.214, p = .000), parental discord (ß = 0.121, p = .009), stress (ß = 0.170, p = .000), attitude toward alcohol (ß = 0.110, p = .004), and food insecurity (ß = 0.510, p = .000). This study developed a reflective measurement model, and the evaluation of reflective measurement models was conducted, assessing internal consistency, convergent validity, and discriminant validity, yielding satisfactory results. CONCLUSION: To tackle alcohol issues among tribal adolescents in the Dooars region, effective strategies should be employed. These include educating in schools, highlighting tribal role models, aiding peers with alcohol dependence, providing life skills training, and addressing parental discord and food insecurity through awareness campaigns, workshops, and better infrastructure.

2.
BMC Public Health ; 24(1): 676, 2024 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-38439011

RESUMO

BACKGROUND: Reproductive span is the foundation of every woman's health in later life. India is currently facing a growing burden of multiple morbidities among the women in their reproductive age group which may further increase over the coming decades. The purpose of the present study aimed to identify different modifiable and non-modifiable risk factors affecting multimorbidity among the women in reproductive age group in Indian context. METHODS: Secondary data were obtained from the Demography and Health Survey (DHS), conducted in India during 2019-2021. A total of 671,967 women aged 15-49 years were selected for this present study. Descriptive, association studies and multinominal logistic regression analyses were performed to accomplish the objectives. RESULTS: Currently, 6.3% of total study participant's reproductive age group women suffered from multimorbidity in India. Never consuming protein, fruits, vegetables and milk increase the chances of developing multimorbidity. Consumption of fried foods, aerated drinks and addiction towards tobacco and alcohol also has a greater influence on the prevalence of multimorbidity. The prevalence of multimorbidity is sharply increased with increasing age and Body Mass Index (BMI). Regionally, the prevalence of multimorbidity was found more among the women hailed from eastern and north-eastern India. CONCLUSION: To reduce the risk of developing multimorbidity, targeted interventions are needed in the form of educating every woman concerning the importance of having minimum health-related knowledge, maintaining healthy lifestyle, weight management and having proper and balanced diet.


Assuntos
Comportamento Aditivo , Multimorbidade , Adulto , Feminino , Humanos , Povo Asiático , Frutas , Índia/epidemiologia , Adolescente , Adulto Jovem , Pessoa de Meia-Idade
3.
BMC Nutr ; 9(1): 69, 2023 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-37328887

RESUMO

Childhood stunting is recognized as significant public health concern in India. It is a form of malnutrition with impaired linear growth and creates a range of adversaries among children, including under-5 mortality, morbidity, and physical and cognitive growth. The purpose of the present study was to recognize the various leading determinants causing childhood stunting from both individual and contextual level in Indian context. Data were obtained from the India's Demography and Health Survey (DHS) conducted in 2019-2021. A total of 1, 46,521 children aged 0-59 months were included in this present study. The study applied a multilevel mixed-effect logistic regression model in which individual factors nested within community based contextual-level factors estimating the likelihood of childhood stunting phenomena among Indian children. The variance explained in full model accounted for about 35.8% of the odds of stunting across the communities. The present study elucidates that the recognized factors from individual level characteristics have really increased the odds of childhood stunting: gender of child, multiple births, low birth weight, low BMI among mothers, less educational attainment by mothers, maternal anemic status, breast feeding duration longer than usual, < 4 antenatal care (ANC) visits during gestation period. Similarly, contextual-level factors like rural places of residence, western Indian children, and communities with high poverty rates, lower literacy rates, improper sanitation, and unsafe drinking water were also found to have a significant positive association with childhood stunting. The study finally concludes that cross level interaction between individual and contextual-level factors are identified as significant determinants of linear growth retardation among child in India. In order to reduce this type of malnutrition among the child one should more concentrate on both individual and contextual-level factors as a notable reasons.

4.
J Prev (2022) ; 44(2): 207-220, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36522495

RESUMO

All behaviors' that satisfy a person's biological needs and desires are considered sexual behaviors. Despite the fact that sexual behavior and expression are universal to all animals, especially humans, the context in which the behaviors are expressed may make it risky or even dangerous. High risk sexual behaviors' and substance use disorders are frequently been linked. This study's main goal is to investigate the relationship between substance use by Men and their participation in high risk sexual behaviors. In the current study data were taken from NFHS 5 (2019-2021) and methods like Pearson's chi-squared test, bivariate and multivariate binary logistic regression models were used to established the relationship that risky sexual behavior is a consequence of substances use. Result revealed that Men's alcohol consumption in daily basis is strongly associated with premature sex (AOR: 1.05; 95%CI: 1.08-1.26; p < 0.05), sex with multiple partners (AOR: 2.35; 95%CI: 1.86-2.97; p < 0.05), and unprotected sexual intercourse (AOR: 2.06; 95%CI: 1.91-2.19; p < 0.05). Apart from alcohol consumption smoking cigarette, use of smokeless tobacco, and use of guthka are also significantly associated with risky sexual behavior of Men on Women. The concern of substances use among Indian men may be dwindled through adoption of appropriate footsteps like incorporating moral education in school curriculum; upbringing socio-economic status; more socialization; increasing social awareness among individual or community through mass media exposure like print or virtual media even which may ultimately reduce the practice of risky sexual behaviour.


Assuntos
Infecções por HIV , Transtornos Relacionados ao Uso de Substâncias , Masculino , Humanos , Feminino , Comportamento Sexual , Homens , Sexo sem Proteção , Consumo de Bebidas Alcoólicas/epidemiologia
5.
Child Youth Serv Rev ; 130: 106226, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34511676

RESUMO

Worldwide the incidents of intimate partner violence (IPV) have increased due to lockdowns related to the COVID-19 pandemic. This paper aims to identify the association between IPV and different socio-economic factors of women & their most recent partner during the COVID-19 pandemic in returnee migrant worker families in Balurghat Block (area 363.9 sq. km), Dakshin Dinajpur district, West Bengal, India. A total of 159 ever-married women were included in this present study, whose husbands were engaged as workers elsewhere at least two years before the lockdown. The result of the multinomial logistic regression model revealed that, after controlling for other variables, the women who had the poorest wealth background were 37% more likely (RRR: 1.37; 95% CI [1.18, 1.47]) to experience IPV almost every day in a week than those who had a middle wealth background. Conversely, the women who had the poorest wealth background were 37% (95% CI [0.57, 0.82]) less likely to experience IPV for three to four days in a week. Furthermore, the women whose partners were currently unemployed were 21% more likely (RRR: 1.21; 95% CI [1.16, 1.36]) to experience IPV almost every day in a week than those whose husbands were currently employed. The women whose husband's had a loan were 26% more likely (RRR: 1.26; 95% CI [1.25, 1.33]) to experience IPV for three to four days in a week than those whose husbands did not have any loans. The likelihood to experience IPV almost every day in a week is higher among those women whose husbands attain weekly (31%) loan instalment pattern and consume alcohol daily (31%). Interventions are needed at the grassroots level and some economic planning is required at an urgent basis.

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